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Jonathan Roman
NPI 1386175792 · on the registry since 2017
Practice
- Address
- 1 Saint Vincents Dr
San Rafael, CA 94903 - Phone
- (415) 507-2000
- Organisation at this address
- St Vincents
Catholic Charities Cyo
Catholic Charities Cyo
Catholic Charities Cyo Of The Archdiocese Of San FranciscoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Additional practice sites
- 4892 San Pablo Dam Rd, El Sobrante, CA
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 101YM0800X
172V00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California